Does pelvic injury trigger erectile dysfunction in men? / 中华创伤杂志(英文版)

<p><b>PURPOSE</b>Pelvic ring fractures constitute 3%-8% of all fractures of the skeletal system and are generally related with high energy trauma. Sexual dysfunction following pelvic fracture has a high incidence, and affects the male patients both physically and psychologically. In this study, we aimed to investigate the impact and frequencies of comorbidities such as erectile dysfunction (ED) with adverse sociocultural and psychological consequences for the patient who had a pelvic ring fracture.</p><p><b>METHODS</b>This study included 26 men who corresponded to the inclusion criteria and agreed to participate our study.</p><p><b>RESULTS</b>According to fracture types, most of our cases were Tile type A1 and type A2. Severe and moderate ED were detected in 46.1% (12/26) of these patients via the International Index of Erectile Function-5 questionnaire.</p><p><b>CONCLUSION</b>ED develops following pelvic fractures, especially in Tile type B and C pelvic fractures.</p>

analysis of the efficacy and safety of transobturator sling operation by using an adjustable sling device in the treatment of stress urinary incontinence

We aimed to evaluate the safety and efficacy of a transobturator sling [TOT] procedure by using an adjustable TOT device in the treatment of stress urinary incontinence [SUI]. The data of 89 patients who had the diagnosis of SUI and underwent TOT operation by using an adjustable MUS device of SAFYRE t plus [Promedon] between June 2005 - November 2012, were retrospectively evaluated. The pateints were evaluted by the parametres of physical examination, stress test, ultrasonography, uroflowmetry, residual urine measurement, cystometry, subjective incontinence scoring [VASi], patients' satisfaction scoring [VASs], and ICQ-SF questionnaire. The preoperative, perioperative, and postoperative collected data were statistically analysed to determine the efficacy and safety of TOT application by using SAFYRE t plus. The mean age, account of parity, and body mass index was 55.3 +/- 10.1, 2.34 +/- 1.43, and 24.97 +/- 3.7, respectively. While the pre- and postoperative results of stress test, VASi, and ICIQ-SF scores were significantly different [P=0.00 in all], the pre- and postoperative results of Qmax and PVR account were similar [P= 0.84, P= 0.79, respectively]. The severity of subjective incontinence [VASi score] significantly improved after the operation. The mean VASs score at postoperative 12[th] month was 7.75 +/- 1.11. The subjective and objective cure rates were%89.9 [80/89] and%78.6 [70/89], respectively. The TOT operation by using SAFYRE t plus, which was an adjustable sling device, seemed to be an efficient, reasonably safe, minimally invasive treatment alternative for the surgical management SUI in women

A Relationship of Sex Hormone Levels and Erectile Dysfunction: Which Tests Should Be Done Routinely?

PURPOSE: In this study, the relationship between sex hormone levels and erectile dysfunction (ED), as well as the necessity of routinely measuring sex hormone levels were evaluated. MATERIALS AND METHODS: This study included one hundred patients admitted to a urology clinic for sexual dysfunction. To determine the hormone levels, following the history (included IIEF-5 score) and physical examination, triple blood samples were collected at intervals of 15 minutes between 08:00 and 10:00 am. Total and free testosterone, prolactin, follicle stimulating hormone and luteinizing hormone levels were studied. RESULTS: Mean age was 43 (23-80) years. IIEF-5 score was less than 21 [9.8-4.3 (3-19)] in all study groups. There was a statistically significant correlation between tT and FSH, as well as between LH and FSH in Pearson (r =-0.513, p 0.05). Of the 100 patients, 18 (18%) had low tT, 77 (77%) had normal and 5 (5%) had high tT levels. No statistically significant correlation was found between decreased libido and tT levels (p > 0.05). Twelve (66.6%) of the 18 patients with low tT had normal libido. CONCLUSION: Analyzing the medical history in detail and performing a thorough physical examination can reduce the need for excessive studies and consultations, and enables patients to save time and costs.